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OR procedure for obesity w/o CC/MCC

MS-DRG 621 · negotiated-rate distribution across hospitals in SC

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Hospitals
16
Min
$9,683.92
Median
$11,413
Max
$28,347
Range multiplier
2.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield788$95$31,822$56,024589.7×
UnitedHealthcare757$45$21,599$77,7321727.4×
Medicaid339$7,455.02$7,924.69$10,0411.3×
Aetna730$29.1$54.4$13,458462.5×
Cigna724$25.2$12,768$33,8601343.7×
Medicare321$11,313$11,313$12,7681.1×
Molina517$7,455.02$11,357$23,5523.2×
no fault [114001]114$11,183$11,183$11,1831.0×
absolute total care412$2,020$12,552$23,55211.7×
select health411$2,312$14,131$30,14713.0×
Humana811$90$11,646$13,458149.5×
WellCare210$9,877.6$10,595$11,3131.1×
univera healthcare [100169]19$15,343$21,920$21,9201.4×
clover insurance company36$11,580$12,112$13,9971.2×
devoted health35$9,877.6$11,134$11,6461.2×
univera healthcare essential [100170]15$7,455.02$7,455.02$7,455.021.0×
Multiplan44$90$90$40,782453.1×
VA Health14$11,313$11,313$15,1601.3×
federal workers compensation [500100]13$11,313$11,313$11,3131.0×
beacon essential [350122]13$6,939.69$7,575.62$7,575.621.1×
phcs33$90$90$901.0×
plotkin health33$60$60$601.0×
regency hospice13$9,683.92$9,683.92$9,683.921.0×
TRICARE13$15,160$15,160$15,1601.0×
fidelis essential [100163]13$7,455.02$7,924.69$7,924.691.1×
amedisys hospice13$670$670$6701.0×
medcost - sc33$50.44$58.51$20,010396.7×
select health of sc [4877]22$21,280$21,280$21,2801.0×
nhc advantage12$995$5,533.14$10,07110.1×
first choice vip care plus [4833]22$12,768$12,768$12,7681.0×
sc state employees12$6,639$12,032$17,4242.6×
eon health12$995$5,533.14$10,07110.1×
pruitt health12$995$5,533.14$10,07110.1×
apex health12$995$5,533.14$10,07110.1×
prime health12$85$6,685.67$13,286156.3×
pai [3082]22$36,670$36,670$36,6701.0×
devoted health plan12$13,458$13,458$13,4581.0×
agape hospice12$525$525$5251.0×
devoted health plan [4501]22$12,160$12,160$12,1601.0×
medcost12$56.9$65.3$73.71.3×
umr [3113]22$28,347$28,347$28,3471.0×
fidelis dual advantage [450120]12$11,313$11,313$11,3131.0×
select health of sc [4890]22$10,543$10,543$10,5431.0×
naphcare11$18,884$18,884$18,8841.0×
arcadian11$9,683.92$9,683.92$9,683.921.0×
beacon health options [100023]11$7,575.62$7,575.62$7,575.621.0×
beacon health options alt [100024]11$7,575.62$7,575.62$7,575.621.0×
blue choice health plan11$30,387$30,387$30,3871.0×
boldage pace11$9,974.44$9,974.44$9,974.441.0×
champ va [700002]11$15,160$15,160$15,1601.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
COLLETON MEDICAL CENTERWALTERBOROSC43$45$9,683.92$56,024
BON SECOURS ST. FRANCIS XAVIER HOSPICHARLESTONSC11$12,160$28,347$36,670
ROPER ST. FRANCIS MT PLEASANT HOSPITMT. PLEASANTSC11$12,160$28,347$36,670
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC14$21,717$32.2$13,458$77,732
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC14$23,824$25.2$11,646$77,511
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$23,389$36.9$11,413$49,966
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC28$58,155$40,780$6,939.69$11,313$28,059
ROPER ST. FRANCIS HOSPITAL-BERKELEYSUMMERVILLESC3$10,041$10,292$10,543
ROPER HOSPITAL INC.CHARLESTONSC3$10,041$10,292$10,543
AIKEN REGIONAL MEDICAL CENTERAIKENSC0
MCLEOD REGIONAL MEDICAL CENTERFLORENCESC0
CONWAY HOSPITALCONWAYSC0
MCLEOD LORIS SEACOAST HOSPITALLORISSC0
MCLEOD HEALTH CHERAWCHERAWSC0
MCLEOD HEALTH CLARENDONMANNINGSC0
MCLEOD MEDICAL CENTER - DILLONDILLONSC0

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.